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Validation of the Korean Version of the Biological Rhythms Interview of Assessment in Neuropsychiatry

  • Cho, Chul-Hyun (Department of Psychiatry, Korea University College of Medicine) ;
  • Jung, Seo-Yeon (Department of Psychology, University of British Columbia) ;
  • Kapczinski, Flavio (Department of Psychiatry and Behavioural Neurosciences, McMaster University) ;
  • Rosa, Adriane R (Laboratory of Molecular Psychiatry, Department of Pharmacology, Universidade Federal do Rio Grande do Sul) ;
  • Lee, Heon-Jeong (Department of Psychiatry, Korea University College of Medicine)
  • Received : 2018.08.13
  • Accepted : 2018.10.21
  • Published : 2018.12.31

Abstract

Objective The Biological Rhythms Interview of Assessment in Neuropsychiatry (BRIAN) is a scale used to clinically evaluate disturbances in biological rhythm. In this study, we aimed to examine the reliability and validity of the Korean version of the BRIAN (K-BRIAN) in a Korean population. Methods A total of 181 participants, including 141 outpatients with bipolar disorder (BD; type I, 62; type II, 79) and 40 controls, were recruited. Construct validity was tested by comparing the mean K-BRIAN scores of the BD patients and control subjects. Concurrent validity was tested by evaluating the association between the K-BRIAN and the Morningness-Eveningness Questionnaire (MEQ). Results The mean K-BRIAN scores of the control subjects and patients with BD differed significantly (p<0.001). Particularly, the mean K-BRIAN score was considerably lower among control subjects (mean${\pm}$standard deviation=$35.00{\pm}8.88$) than among patients with BD type I ($41.19{\pm}12.10$) and type II ($50.18{\pm}13.73$). The Cronbach's alpha for the K-BRIAN was 0.914. The K-BRIAN was found to correlate with the MEQ (r=-0.45, p<0.001). Conclusion The findings affirm that the K-BRIAN has good construct validity and internal consistency. This suggests that the K-BRIAN can be used to assess biological rhythms in the Korean population, especially for patients with mood disorder.

Keywords

Acknowledgement

Supported by : Ministry of Health & Welfare, National Research Foundation of Korea

References

  1. Giglio LM, Magalhaes PV, Andreazza AC, Walz JC, Jakobson L, Rucci P, et al. Development and use of a biological rhythm interview. J Affect Disord 2009;118:161-165. https://doi.org/10.1016/j.jad.2009.01.018
  2. Rumble ME, White KH, Benca RM. Sleep disturbances in mood disorders. Psychiatr Clin North Am 2015;38:743-759. https://doi.org/10.1016/j.psc.2015.07.006
  3. Moon JH, Cho CH, Son GH, Geum D, Chung S, Kim H, et al. Advanced circadian phase in mania and delayed circadian phase in mixed mania and depression returned to normal after treatment of bipolar disorder. EBiomedicine 2016;11:285-295. https://doi.org/10.1016/j.ebiom.2016.08.019
  4. Moro MF, Carta MG, Pintus M, Pintus E, Melis R, Kapczinski F, et al. Validation of the Italian Version of the Biological Rhythms Interview of Assessment in Neuropsychiatry (BRIAN): some considerations on its screening usefulness. Clin Pract Epidemiol Ment Health 2014;10:48-52. https://doi.org/10.2174/1745017901410010048
  5. Giglio LM, Magalhaes PV, Kapczinski NS, Walz JC, Kapczinski F. Functional impact of biological rhythm disturbance in bipolar disorder. J Psychiatr Res 2010;44:220-223. https://doi.org/10.1016/j.jpsychires.2009.08.003
  6. Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 1993;46:1417-1432. https://doi.org/10.1016/0895-4356(93)90142-N
  7. Kasper S, Wehr TA. The role of sleep and wakefulness in the genesis of depression and mania. Encephale 1992;18:45-50.
  8. Ahn YM, Chang J, Joo YH, Kim SC, Lee KY, Kim YS. Chronotype distribution in bipolar I disorder and schizophrenia in a Korean sample. Bipolar Disord 2008;10:271-275. https://doi.org/10.1111/j.1399-5618.2007.00573.x
  9. Vadnie CA, McClung CA. Circadian rhythm disturbances in mood disorders: insights into the role of the suprachiasmatic nucleus. Neural Plast 2017;2017:1-28.
  10. Robillard R, Naismith SL, Hickie IB. Recent advances in sleep-wake cycle and biological rhythms in bipolar disorder. Curr Psychiatry Rep 2013;15:402. https://doi.org/10.1007/s11920-013-0402-3
  11. Zee PC, Attarian H, Videnovic A. Circadian rhythm abnormalities. Continuum Lifelong Learn Neurol 2013;19:132-147. https://doi.org/10.1212/01.CON.0000427209.21177.aa
  12. Cho CH, Moon JH, Yoon HK, Kang SG, Geum D, Son GH, et al. Molecular circadian rhythm shift due to bright light exposure before bedtime is related to subthreshold bipolarity. Sci Rep 2016;6:31846. https://doi.org/10.1038/srep31846
  13. Seleem MA, Merranko JA, Goldstein TR, Goldstein BI, Axelson DA, Brent DA, et al. The longitudinal course of sleep timing and circadian preferences in adults with bipolar disorder. Bipolar Disord 2015;17:392-402. https://doi.org/10.1111/bdi.12286
  14. Frank E, Hlastala S, Ritenour A, Houck P, Tu XM, Monk TH, et al. Inducing lifestyle regularity in recovering bipolar disorder patients: results from the maintenance therapies in bipolar disorder protocol. Biol Psychiatry 1997;41:1165-1173. https://doi.org/10.1016/S0006-3223(96)00241-7
  15. Leibenluft E, Suppes T. Treating bipolar illness: focus on treatment algorithms and management of the sleep-wake cycle. Am J Psychiatry 1999;156:1976-1981.
  16. Pail G, Huf W, Pjrek E, Winkler D, Willeit M, Praschak-Rieder N, et al. Bright-light therapy in the treatment of mood disorders. Neuropsychobiology 2011;64:152-162. https://doi.org/10.1159/000328950
  17. Padiath QS, Paranjpe D, Jain S, Sharma VK. Glycogen synthase kinase $3{\beta}$ as a likely target for the action of lithium on circadian clocks. Chronobiol Int 2004;21:43-55. https://doi.org/10.1081/CBI-120027981
  18. Li X, Bijur GN, Jope RS. Glycogen synthase kinase-$3{\beta}$, mood stabilizers, and neuroprotection. Bipolar Disord 2002;4:137-144. https://doi.org/10.1034/j.1399-5618.2002.40201.x
  19. Rosenthal N, Bradt G, Wehr T. Seasonal Pattern Assessment Questionnaire. Bethesda: National Institute of Mental Health; 1987.
  20. Horne JA, Ostberg O. A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol 1976;4:97-110.
  21. Bradley AJ, Webb-Mitchell R, Hazu A, Slater N, Middleton B, Gallagher P, et al. Sleep and circadian rhythm disturbance in bipolar disorder. Psychol Med 2017;47:1678-1689. https://doi.org/10.1017/S0033291717000186
  22. Wood J, Birmaher B, Axelson D, Ehmann M, Kalas C, Monk K, et al. Replicable differences in preferred circadian phase between bipolar disorder patients and control individuals. Psychiatry Res 2009;166:201-209. https://doi.org/10.1016/j.psychres.2008.03.003
  23. Bullock B, Corlass-Brown J, Murray G. Eveningness and seasonality are associated with the bipolar disorder vulnerability trait. J Psychopathol Behav Asess 2014;36:443-451. https://doi.org/10.1007/s10862-014-9414-5
  24. Association AP. Diagnostic and Statistical Manual of Mental Disorders (DSM-$5^{(R)}$). Washington DC: American Psychiatric Pub; 2013.
  25. Cho CH, Ahn YM, Kim SJ, Ha TH, Jeon HJ, Cha B, et al. Design and methods of the Mood Disorder Cohort Research Consortium (MDCRC) Study. Psychiatry Investig 2017;14:100-106. https://doi.org/10.4306/pi.2017.14.1.100
  26. Hergueta T, Baker R, Dunbar GC. The Mini-International Neuropsychiatric Interview (MINI): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 1998;59(Suppl 20):22-33.
  27. Pinho M, Sehmbi M, Cudney L, Kauer-Sant'anna M, Magalhaes P, Reinares M, et al. The association between biological rhythms, depression, and functioning in bipolar disorder: a large multi-center study. Acta Psychiatr Scand 2016;133:102-108. https://doi.org/10.1111/acps.12442
  28. Rosa AR, Comes M, Torrent C, Sole B, Reinares M, Pachiarotti I, et al. Biological rhythm disturbance in remitted bipolar patients. Int J Bipolar Disord 2013;1:6. https://doi.org/10.1186/2194-7511-1-6
  29. Allega OR, Leng X, Vaccarino A, Skelly M, Lanzini M, Hidalgo MP, et al. Performance of the biological rhythms interview for assessment in neuropsychiatry: an item response theory and actigraphy analysis. J Affect Disord 2018;225:54-63. https://doi.org/10.1016/j.jad.2017.07.047
  30. Chung JK, Lee KY, Kim SH, Kim EJ, Jeong SH, Jung HY, et al. Circadian rhythm characteristics in mood disorders: comparison among bipolar I disorder, bipolar II disorder and recurrent major depressive disorder. Clin Psychopharmacol Neurosci 2012;10:110-116. https://doi.org/10.9758/cpn.2012.10.2.110
  31. Refinetti R, Menaker M. The circadian rhythm of body temperature. Physiol Behav 1992;51:613-637. https://doi.org/10.1016/0031-9384(92)90188-8
  32. Son GH, Chung S, Choe HK, Kim HD, Baik SM, Lee H, et al. Adrenal peripheral clock controls the autonomous circadian rhythm of glucocorticoid by causing rhythmic steroid production. Proc Natl Acad Sci USA 2008;105:20970-20975. https://doi.org/10.1073/pnas.0806962106
  33. Inouye SI, Kawamura H. Persistence of circadian rhythmicity in a mammalian hypothalamic "island" containing the suprachiasmatic nucleus. Proc Natl Acad Sci USA 1979;76:5962-5966. https://doi.org/10.1073/pnas.76.11.5962
  34. Lee HA, Lee HJ, Moon JH, Lee T, Kim MG, In H, et al. Comparison of wearable activity tracker with actigraphy for sleep evaluation and circadian rest-activity rhythm measurement in healthy young adults. Psychiatry Investig 2017;14:179-185. https://doi.org/10.4306/pi.2017.14.2.179
  35. Morgenthaler T, Alessi C, Friedman L, Owens J, Kapur V, Boehlecke B, et al. Practice parameters for the use of actigraphy in the assessment of sleep and sleep disorders: an update for 2007. Sleep 2007;30:519-529. https://doi.org/10.1093/sleep/30.4.519
  36. Van de Mortel TF. Faking it: social desirability response bias in self-report research. Aust J Adv Nurs 2008;25:40-48.
  37. Wherry Sr RJ, Bartlett C. The control of bias in ratings: a theory of rating. Pers Psychol 1982;35:521-551. https://doi.org/10.1111/j.1744-6570.1982.tb02208.x
  38. Lee HS, Kang CM, Kang BW, Kim HK. Seasonal variations of acidic air pollutants in Seoul, South Korea. Atmos Environ 1999;33:3143-3152. https://doi.org/10.1016/S1352-2310(98)00382-3
  39. Cho CH, Lee HJ, Yoon HK, Kang SG, Bok KN, Jung KY, et al. Exposure to dim artificial light at night increases REM sleep and awakenings in humans. Chronobiol Int 2016;33:117-123. https://doi.org/10.3109/07420528.2015.1108980
  40. Johansson C, Willeit M, Smedh C, Ekholm J, Paunio T, Kieseppa T, et al. Circadian clock-related polymorphisms in seasonal affective disorder and their relevance to diurnal preference. Neuropsychopharmacology 2003;28:734-739. https://doi.org/10.1038/sj.npp.1300121
  41. Lee HJ, Rex KM, Nievergelt CM, Kelsoe JR, Kripke DF. Delayed sleep phase syndrome is related to seasonal affective disorder. J Affect Disord 2011;133:573-579. https://doi.org/10.1016/j.jad.2011.04.046
  42. Murray G, Allen NB, Trinder J. Seasonality and circadian phase delay: prospective evidence that winter lowering of mood is associated with a shift towards Eveningness. J Affect Disord 2003;76:15-22. https://doi.org/10.1016/S0165-0327(02)00059-9

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